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Organisation and delivery of home care re-ablement
 — what makes a difference?
Author(s)Parvaneh Rabiee, Caroline Glendinning
Journal titleHealth and Social Care in the Community, vol 19, no 5, September 2011
Pagespp 495-503
Sourcehttp://www.ingentaconnect.com/content/bsc/hscc
KeywordsHome care services ; Chronic illness ; Physical disabilities ; Independence ; Services ; Management [care] ; Evaluation.
AnnotationRe-ablement services aim to help chronically sick or disabled individuals re-learn the skills necessary for independent living at home. This study examined the organisation and effectiveness of re-ablement services in England. Semi-structured interviews were held with senior service managers in five sites with well-established re-ablement services,. Contributing factors to the effectiveness of re-ablement services included: service user characteristics and expectations; staff commitment, attitudes and skills; flexibility and prompt intervention; thorough and consistent recording systems; and rapid access to equipment and specialist skills in the team. Factors external to the services which had implications for their effectiveness included: a clear, widely understood vision of the service; access to a wide range of specialist skills; and capacity within long-term home-care services. The authors argue that re-ablement can be empowering for all service users in terms of raising their confidence. However, the move to a more inclusive `intake' service suggests that outcomes are likely to be considerably lower for service users who have more limited potential to be independent. (JL).
Accession NumberCPA-111124007 A
ClassmarkNH: CI: BN: C3: I: QA: 4C

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